Individual
IRA SUROLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 JEFFERSON ST, HARTFORD, CT 06106-2601
(860) 972-4183
(860) 728-0151
Mailing address
85 JEFFERSON ST, HARTFORD, CT 06106-2601
(860) 972-4183
(860) 728-0151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290930
NY
207R00000X
Internal Medicine Physician
322364
LA
207RX0202X
Medical Oncology Physician
290930
NY
207RX0202X
Medical Oncology Physician
322364
LA
207RX0202X
Medical Oncology Physician
Primary
82682
CT
Other
Enumeration date
02/15/2010
Last updated
09/18/2025
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